Provider Demographics
NPI:1730224932
Name:HOWARD, MICHELE DEESE (PHARMD)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:DEESE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 ELM ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-3315
Mailing Address - Country:US
Mailing Address - Phone:803-808-5919
Mailing Address - Fax:
Practice Address - Street 1:8 HARBISON WAY
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-3402
Practice Address - Country:US
Practice Address - Phone:803-454-2290
Practice Address - Fax:803-454-2294
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC010447183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist